Backgroung:Regional anesthesia in breast surgery is of paramount importance to reduce pain in perioperative period. PECS II block is an interfascial block that has been used widely as regional anesthesia technique in breast surgery. ESP block is a novel interfascial block proposed in 2016 by Forero. Several reports used this technique in breast surgery to provide analgesia but to date no studies comparing these technique exists. Our hypotesis is that this two technique are equally able to provide analgesia in breast surgery. Study type: RCT, single blind.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
local anesthetic will be injected between transverous process and erector spinae muscle
local anesthetic will be injected between pectoralis minor and pectoralis major (10 ml) and between pectoralis minor and serratus (20 ml)
University of Padova
Padova, Veneto, Italy
Intraoperative Fentanyl consumption
Intraoperative fentanyl dose (mcg) difference between ESP group and PECS group.
Time frame: Intraoperative
NRS at 6 hour
NRS (0-10) difference at sixth postoperative hour between ESP group and PECS group
Time frame: sixth postoperative hour
NRS at 12 hour
NRS (0-10) difference at twelth postoperative hour between ESP group and PECS group
Time frame: twelth postoperative hour
NRS at 24 hour
NRS (0-10) difference at twentyfourth postoperative hour between ESP group and PECS group
Time frame: twentyfourth postoperative hour
Patient satisfaction at 24 hour
Patient satisfaction (0-10) difference regarding anesthesia management at twentyfourth postoperative hour between ESP group and PECS group
Time frame: postoperative period (24h)
Time to first opioid consumption in the postoperative period
Time (minutes) to first opioid consumption in the postoperative period
Time frame: postoperative period (24h)
Postoperative morphine consumption
postoperative morphine dose (mg) difference between ESP group and PECS group.
Time frame: postoperative period (24h)
Nausea and vomit incidence
Incidence of nausea and vomiting in postoperative period
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Time frame: postoperative period (24h)
Other complication incidence
Incidence of other complcations linked to anesthesia in postoperative period
Time frame: postoperative period (24h)
Intraoperative Fentanyl consumption(mcg/kg/h)
Intraoperative fentanyl dose (mcg/kg/h) difference between ESP group and PECS group.
Time frame: Intraoperative